LAPAROSCOPIC TREATMENT FOR GENUINE URINARY STRESS-INCONTINENCE

Among various operations for stress urinary incontinence, the retropubic colposuspension (Burch procedure) has the best long-term result for treatment of genuine urinary stress incontinence caused by hypermobility of proximal urethra and the urethrovesical junction. With advanced technology in operative laparoscopy. Burch colposuspension can be performed laparoscopically without difficulty and it can achieve the same therapeutic result as the traditional open surgery. Laparoscopy provides better visibility of the operative field, more precise placement of paraurethral sutures and satisfactory haemostasis. Patients who undergo laparoscopic Burch procedure experience less postoperative discomfort, quicker recovery, fewer operative complications, and better cosmetic appearance. © 1994 by Baillière Tindall. All rights reserved.